Individual
ANDREA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 5TH AVE STE 1114, NEW YORK, NY 10010
(516) 880-3337
Mailing address
156 5TH AVE STE 1114, NEW YORK, NY 10010-7002
(516) 880-3337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085152
NY
Other
Enumeration date
02/24/2012
Last updated
08/14/2018
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